REAL-TIME 4D ULTRASOUND RECONSTRUCTION FOR IMAGE-GUIDED INTRACARDIAC INTERVENTIONS

Image-guided therapy addresses the lack of direct vision associated with minimally- invasive interventions performed on the beating heart, but requires effective intraoperative imaging. Gated 4D ultrasound reconstruction using a tracked 2D probe generates a time-series of 3D images representing the beating heart over the cardiac cycle. These images have a relatively high spatial resolution and wide field of view, and ultrasound is easily integrated into the intraoperative environment. This thesis presents a real-time 4D ultrasound reconstruction system incorporated within an augmented reality environment for surgical guidance, whose incremental visualization reduces common acquisition errors. The resulting 4D ultrasound datasets are intended for visualization or registration to preoperative images. A human factors experiment demonstrates the advantages of real-time ultrasound reconstruction, and accuracy assessments performed both with a dynamic phantom and intraoperatively reveal RMS localization errors of 2.5-2.7 mm, and 0.8 mm, respectively. Finally, clinical applicability is demonstrated by both porcine and patient imaging

Optimised Calibration, Registration and Tracking for Image Enhanced Surgical Navigation in ENT Operations

EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Optimised calibration, registration and tracking for image enhanced surgical navigation in ENT operations

EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Natural ventilation design attributes application effect on, indoor natural ventilation performance of a double storey, single unit residential building

In establishing a good indoor thermal condition, air movement is one of the important parameter to be considered to provide indoor fresh air for occupants. Due to the public awareness on environment impact, people has been increasingly attentive to passive design in achieving good condition of indoor building ventilation. Throughout case studies, significant building attributes were found giving effect on building indoor natural ventilation performance. The studies were categorized under vernacular houses, contemporary houses with vernacular element and contemporary houses. The indoor air movement of every each spaces in the houses were compared with the outdoor air movement surrounding the houses to indicate the space’s indoor natural ventilation performance. Analysis found the wind catcher element appears to be the most significant attribute to contribute most to indoor natural ventilation. Wide opening was also found to be significant especially those with louvers. Whereas it is also interesting to find indoor layout design is also significantly giving impact on the performance. The finding indicates that a good indoor natural ventilation is not only dictated by having proper openings at proper location of a building, but also on how the incoming air movement is managed throughout the interior spaces by proper layout. Understanding on the air pressure distribution caused by indoor windward and leeward side is important in directing the air flow to desired spaces in producing an overall good indoor natural ventilation performance

NASA Tech Briefs, November 1990

Topics: New Product Ideas; NASA TU Services; Electronic Components and Circuits; Electronic Systems; Physical Sciences; Materials; Computer Programs; Mechanics; Machinery; Fabrication Technology; Mathematics and Information Sciences

Augmented Reality Assistance for Surgical Interventions using Optical See-Through Head-Mounted Displays

Augmented Reality (AR) offers an interactive user experience via enhancing the real world environment with computer-generated visual cues and other perceptual information. It has been applied to different applications, e.g. manufacturing, entertainment and healthcare, through different AR media. An Optical See-Through Head-Mounted Display (OST-HMD) is a specialized hardware for AR, where the computer-generated graphics can be overlaid directly onto the user's normal vision via optical combiners. Using OST-HMD for surgical intervention has many potential perceptual advantages. As a novel concept, many technical and clinical challenges exist for OST-HMD-based AR to be clinically useful, which motivates the work presented in this thesis. From the technical aspects, we first investigate the display calibration of OST-HMD, which is an indispensable procedure to create accurate AR overlay. We propose various methods to reduce the user-related error, improve robustness of the calibration, and remodel the calibration as a 3D-3D registration problem. Secondly, we devise methods and develop hardware prototype to increase the user's visual acuity of both real and virtual content through OST-HMD, to aid them in tasks that require high visual acuity, e.g. dental procedures. Thirdly, we investigate the occlusion caused by the OST-HMD hardware, which limits the user's peripheral vision. We propose to use alternative indicators to remind the user of unattended environment motion. From the clinical perspective, we identified many clinical use cases where OST-HMD-based AR is potentially helpful, developed applications integrated with current clinical systems, and conducted proof-of-concept evaluations. We first present a "virtual monitor'' for image-guided surgery. It can replace real radiology monitors in the operating room with easier user control and more flexibility in positioning. We evaluated the "virtual monitor'' for simulated percutaneous spine procedures. Secondly, we developed ARssist, an application for the bedside assistant in robotic surgery. The assistant can see the robotic instruments and endoscope within the patient body with ARssist. We evaluated the efficiency, safety and ergonomics of the assistant during two typical tasks: instrument insertion and manipulation. The performance for inexperienced users is significantly improved with ARssist, and for experienced users, the system significantly enhanced their confidence level. Lastly, we developed ARAMIS, which utilizes real-time 3D reconstruction and visualization to aid the laparoscopic surgeon. It demonstrates the concept of "X-ray see-through'' surgery. Our preliminary evaluation validated the application via a peg transfer task, and also showed significant improvement in hand-eye coordination. Overall, we have demonstrated that OST-HMD based AR application provides ergonomic improvements, e.g. hand-eye coordination. In challenging situations or for novice users, the improvements in ergonomic factors lead to improvement in task performance. With continuous effort as a community, optical see-through augmented reality technology will be a useful interventional aid in the near future